Obama, like his Democratic predecessor Clinton, is trying to bring in healthcare reform in the US. There have been ferocious campaigns against it with people attacking the nationalized healthcare systems in Canada and Great Britain. Although our (Canada’s) system is not ideal, let’s compare a few things.

I have many many friends in the US. Some of them work for companies or must work for companies with good health plans. They may, even with these health plans, pay for various services and medications on top of the allotted amount. One friend had to drive two hours to a neighboring city to see a doctor who worked for that particular health insurance company. I have another friend, a doctor, who actually couldn’t find work because the insurance company she was with disappeared and the others needed no doctors. She didn’t want or couldn’t afford the overhead of starting her own practice so remained out of work. You never hear of a doctor in Canada who can’t find enough patients.

I have friends where both worked but their health plans only covered their two children. I know a woman who had ovarian cancer and after the surgeries and care owed $30,000 USD. I have a friend who is epileptic, who only by the grace of once being a coast guard, gets her seizure medication covered. I have a friend, a writer and reviewer, who is diabetic, with complications. He told me once, years ago, that he paid over $800 a month in health insurance. He is now in danger of losing his home because of his health issues. I have friends whose jobs don’t have health plans or very limited ones. They sometimes can’t get the simplest of tests done and what is a minor health issue can become life threatening.

The US health system is expensive and limits or ignores those who are of lower income. They get little help or often die because they cannot afford to treat their illnesses and injuries. And any time a person is injured, whether by their own fault or not, and even if they know it, they must sue everyone in sight to cover the costs of the health care. Suddenly no one is responsible for their own common sense and well-being. There are those who will take advantage of the system but many who are genuinely ill and injured must sue so that they can get better. And that drives up the costs of everything. It clogs up the court systems for years to come and we hear of ridiculous cases, such as the one about the guy who sued his yacht insurance because he had given his ex-girlfriend herpes. (I kid you not.)

Canada’s system isn’t perfect. We do have waiting lists for surgeries and MRIs. There are provincial governments like Alberta’s (under Ralph Klein) and BC (under Gordon Campbell) that have been whittling away at our health services, knocking out this and that and letting in privatization. Campbell took away chiropractic, massage and physiotherapy services (which were only covered for a specified number of visits) and decided that podiatrists and optometrists weren’t essential to one’s health. Of course, things like foot or eye problems affect people more as they age and affect seniors, so we know who suffers there.

But when I found out there was a class action suit against a pharmaceutical company for deadly affects of a drug (one I had once been on), I went to my doctor and requested a battery of tests to make sure I didn’t have any problems. My cost–0. Earlier this year I was exhausted. My doctor sent me for thorough blood tests. Again my cost is nothing. I can get X-rays or other tests or should I take ill I will still owe nothing. My friend who spent a year in the hospital, before dying, also owed nothing.

Surgery is free unless it’s cosmetic. What is not covered is dental. Why on earth it was seen to not be essential to health back when medicare was being form, I can only guess at. So people often want jobs that do have medical benefits for dental, eyes, physiotherapy and chiropractic, medicine (some is covered in BC if you have to spend over a certain amount). Not everything is free. And it can be hard to get a doctor because we don’t have enough. Some leave and go to the US to make more money. And yes you could wait a very long time for an elective surgery.

Some people in the US are fighting the medicare proposal. Do you really want to have to mortgage your home to have surgery, take out a loan to have a child, or suffer silently because you can’t afford it? Because the US already has private practices it is highly unlikely that these will go away. It’s unlikely that people will lose their health care benefits through their jobs. But what it does mean is that people will be able to get aid without having to suffer or bankrupt themselves. It does mean improving the overall health of the country.

Yes it could be expensive, and is costly in Canada. Our government needs to try harder at changing the system so that preventative health care is the first step, and that takes education. But it will burden the system less later as a person ages. People need to also take responsibility for their bodies and try to treat them better. Diet is a huge thing and with North America burgeoning with childhood obesity it would be the best way to head off higher costs and overtaxing any medical system.

One thing is for certain, a medicare plan wouldn’t hurt most people and would help them. It’s too bad people are so paranoid about it in the US. It could definitely alleviate a great deal of suffering if not all.

One response to “Healthcare and Privatization”

My wife and I spend about half the year in Canada. We have first-hand experience, and vicarious experience of friends with Canadian healthcare.
The American view of the Canadian system is distorted. Are Americans ever told that each province has its own system, and that Canadians traveling to other provinces do not necessarily take their health plan with them? Are they aware of the restrictions on drugs which may be prescribed, the primitive nature of many hospitals, the low pay for healthcare professionals, the long waiting lines, the poor equipment, the shortage of nurses? I could go on.

Healthcare is an economic good, like almost everything else desirable in human life. Page one of any economics textbook should begin by stating that every good requires a cost in human effort, ingenuity, equipment, and management skills. There is no such thing as a free lunch, and no such thing as “free” medical care.

So why not a government plan? Very simply, because governments have a miserable record of running anything. Even in supposedly advanced countries, they cannot do the simplest management tasks, such as keeping a balanced budget!! They cannot even conduct diplomacy nor prosecute wars efficiently. They cannot educate the public well,l have a rational energy policy, control crime, enforce immigration laws, &c., &c. How in the world can they be expected to do something really challenging? I would not want these people controlling any really important aspect of my life.